河北医学2018，Vol.24Issue(6)：973-976,4.DOI:10.3969/j.issn.1006-6233.2018.06.024
两种不同术式治疗特发性黄斑裂孔的疗效分析
Efficacy Analysis of two Different Surgical Treatments for Idiopathic Macular Hole
摘要
Abstract
Objective: To compare the effect of vitrectomy, internal boundary membrane ( ILM) avul-sion and overturn coverage combined with air filling ( cover group) and vitrectomy, internal boundary mem-brane simple stripping combined with air filling ( stripping group) for the treatment of idiopathic macular hole ( IMH) . Methods: For patients with IMH, the diameter of the foramen was smaller than 400 mu m, and the total diameter of the eyes was 30 eyes and the diameter of＞400 hole was 42＞400. The best corrected visual a-cuity, the closure of hiatus, the rate of closure of the foramen and the complications were observed before and after operation. Results: In the patients with MH diameter less than 400 u m, the visual acuity of the two groups increased, the difference was not statistically significant ( P＝0.98) . All the patients were closed after the operation, and there was no statistical difference between the two groups ( P＞0.05) . The visual acuity of the two groups in the two groups was higher than that of the cover group ( P＝0.04) , and the closure rate in the stripping group was higher than that of the cover group ( P＝0.022) . There were no serious complications after operation in the two groups. Conclusion: Vitrectomy, internal boundary membrane cover combined with air filling can effectively treat IMH, but for patients with larger MH diameter and Ⅳ stage with split hole stage, it is suggested that inert gas should be filled to improve the success rate.关键词
特发性黄斑裂孔/内界膜撕除/内界膜翻转/空气填充Key words
Idiopathic macular hole/Inner limiting member peeling(ILMP)/Air filled/Rotate of inner limiting member引用本文复制引用
苏畅,李伟,苏锐锋,谭小波,付笑笑,周海生..两种不同术式治疗特发性黄斑裂孔的疗效分析[J].河北医学,2018,24(6):973-976,4.基金项目
河北省自然科学基金项目,(编号:H2015406054) （编号:H2015406054）
